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IONIA ORAL SURGERY
NPI 1881797983
Dentist - Oral and Maxillofacial Surgery in Lansing, MI

Active since September 06, 2006
5238 W ST JOE HWY, SUITE 2, LANSING, MI 48917(517) 323-1000(517) 886-5566 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ionia Oral Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IONIA ORAL SURGERY (NPI 1881797983) is a healthcare organization registered as an oral and maxillofacial surgery in Lansing, Michigan and active in the NPI registry since September 2006. The organization lists Jeffrey E Persico, Owner, as its authorized official.

NPPES Registry Identity

NPI1881797983
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL SURGERY ASSOCIATES OF LANSING PC
Location Address5238 W ST JOE HWY, SUITE 2Lansing, MI 48917-4085
Mailing Address4201 Okemos RdOkemos, MI 48864-3200 · (517) 349-8383 · Fax (517) 349-5566
Phone(517) 323-1000
Fax(517) 886-5566
Organization SubpartNo
Authorized OfficialJeffrey E PersicoOwner · (517) 349-8383
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMay 5, 2015
✔ NPI 1881797983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
5238 W ST JOE HWY, Lansing, MI 48917
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Other Names 1

Doing Business AsIonia Oral Surgery

Other Identifiers 1

Medicare PIN0P56310MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ionia Oral Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ionia Oral Surgery, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

John Faber, DDS
Maxillofacial Surgery
NPI 1487757563
5238 W ST JOE HWY SUITE 2
Lansing, MI 48917
(517) 323-1000
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Persico, DMD
Maxillofacial Surgery
NPI 1437252509
5238 W ST JOE HWY SUITE 2
Lansing, MI 48917
(517) 323-1000
✔ PECOS✔ Accepts MedicareSame address
Justine Moe, MD, DDS
Maxillofacial Surgery
NPI 1104143833
4201 OKEMOS RD
Okemos, MI 48864
(517) 349-8383
✔ PECOS✔ Accepts Medicare9.9 mi
Ezio Novelli, DDS, MD
Maxillofacial Surgery
NPI 1558622712
4201 OKEMOS RD
Okemos, MI 48864
(517) 349-8383
✔ PECOS✔ Accepts Medicare9.9 mi
Andrew Baker, DDS MD
Oral Surgery
NPI 1295148880
4500 CASCADE RD SE STE 208
Grand Rapids, MI 49546
(616) 977-5000
✔ PECOS✔ Accepts Medicare50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral Surgery Associates Of Lansing PC's NPI number?

The NPI number for Oral Surgery Associates Of Lansing PC is 1881797983. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Ionia Oral Surgery.

Where is Oral Surgery Associates Of Lansing PC located?

Oral Surgery Associates Of Lansing PC is located at 5238 W St Joe Hwy Suite 2, Lansing, MI 48917. The listed phone number is (517) 323-1000.

What is Oral Surgery Associates Of Lansing PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Oral Surgery Associates Of Lansing PC enrolled in Medicare?

Yes. Oral Surgery Associates Of Lansing PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral Surgery Associates Of Lansing PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Oral Surgery Associates Of Lansing PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Maxillofacial Surgery (4) and Oral Surgery (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oral Surgery Associates Of Lansing PC was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.